Key result
Cardiovascular magnetic resonance imaging and endomyocardial biopsy confirmed the diagnosis of arrhythmogenic right ventricular dysplasia in a 60-year-old woman with metabolic syndrome.
Case Report (n=1)
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Cardiovascular magnetic resonance (CMR) plays an important role in establishing the diagnosis of ARVD by delineating right ventricular anatomy, function, and tissue composition.
Arrythmogenic right ventricular dysplasia/cardiomyopathy (ARVD) is a familial cardiomyopathy characterised clinically by right ventricular (RV) dysfunction as well as ventricular tachycardia 1-4 and histopathologically by fibro-fatty replacement of the myocardium. 5 Left ventricular (LV) involvement can occur and appears to correlate with increased disease severity. 3,4 Owing to the complexity of the disease, Task Force Criteria for diagnosis of ARVD were drawn up in 1994 and revised in 2010. 6,7 Cardiovascular magnetic resonance (CMR) findings are now included in the list of major and minor criteria and currently play an important role in establishing the diagnosis of ARVD (see Table I). CMR is extremely valuable for delineation of right ventricular (RV) anatomy and function as well as for characterising the composition of the RV wall, especially regarding the presence of fatty and/or fibrous tissue.
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Scholtz et al. (2011) conducted a case report in Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD) (n=1). Cardiovascular magnetic resonance (CMR) and endomyocardial biopsy was evaluated. Cardiovascular magnetic resonance imaging and endomyocardial biopsy confirmed the diagnosis of arrhythmogenic right ventricular dysplasia in a 60-year-old woman with metabolic syndrome.
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